1. Mat-Su Substance Abuse Prevention Coalition Community Assessment and Data Project Trends in Youth Substance Use

2. “Reduce substance abuse among youth and, over time, among adults by addressing the factors in a community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse.” -United Way of Mat-Su Purpose

3. Project is Data Driven Provide basis for evidence- based strategies Sustainability!!!

4. Method Collection of available local data from years 2002-2007 Data Review Economic impact of substance use Trends in youth substance use survey project Community Assessment

5. Data Review Alaska State Troopers Drug Report Palmer & Wasilla Police Departments DEA Alaska Drug Report Alaska Highway Safety Office Department of Juvenile Justice Mat Su Borough Crime Report State Substance Abuse Expenditure Report National Drug Control Policy State Meth Information SAMHSA State Estimates Substance Use National Drug Control Policy Expenditure report Mat-Su Regional Medical Center Census Youth Risk Behavior Survey Mat-Su Data Mat-Su Youth Court

6. Community Assessment Economic Impact of Substance Abuse Development of comprehensive database Trends in Youth Substance Use Implementation of youth survey

7. Trends in Youth Substance Use Average age of onset of drug use, and pathways to use Past 30 day use Perception of risk or harm Perception of parental disapproval of use Defined resiliency-based indicators Collect information on core measures including:

8. Selecting an Instrument Pride Institute Risk and Protective Factor Questionnaire Pride Questionnaire for grades 6-12 CSAP SARPF Student Survey ASD School Climate and Connectedness Survey Communities that Care Youth Survey Monitoring the Future Youth Risk Behavior Survey (YRBS) California Healthy Kids Survey (CHKS)

9. Evaluating an Instrument Youth Risk Behavior Survey Does not include all core measures In-depth questions on sexual behavior and physical health Monitoring the Future Overly Detailed information substance use Complete data requires 6 surveys ASD School Climate and Connectedness Does not ask about substance use Information only on school connectedness

10. California Healthy Kids Survey Assesses all major health-related risk behaviors Emphasis on preventing substance use and violence Emphasis on promoting positive youth development California Healthy Kids Survey (CKHS) 1993-2003 data bank contains over 1,300,000 student records representing 94% of state enrollment. Breadth of Data yields reliable results

11. Creation of California Healthy Kids Survey California Healthy Kids Survey California Student Survey Monitoring the Future YRBS

12. CHKS: How does it work? Ability to survey grades 5-12 Elementary school survey Secondary school survey Middle School Version High School Version

13. Why Give the CHKS? Meet program requirements for Federal Safe and Drug Free Schools and Communities Act Provide a thorough understanding of the scope and nature of local youth health risks Develop better, comprehensive health programs Help schools address growing numbers of children with health-related problems

14. CHKS and the Data Project Local Sustainable Data Driven

15. Alaska Healthy Kids Survey Alaska Healthy Kids Survey (AHKS) is the CHKS adapted to meet our needs Core survey questions remain the same Demographics have been changed to reflect our diverse Alaska Native population

16. Sample Characteristics Survey will be administered borough-wide to create a baseline for data –Reveals actual numbers of prevalence for this area –Informs prevention efforts –Provides a comparison for post-intervention analysis –Informs coalition committees on areas of priority Survey will be administered borough-wide to create a baseline for data –Reveals actual numbers of prevalence for this area –Informs prevention efforts –Provides a comparison for post-intervention analysis –Informs coalition committees on areas of priority

17. Who will take AHKS? Grade 7 (age 12) –Serves as a good baseline for studying onset of student behaviors Grade 9 (age 14) –Typically see a substantial increase in risk behaviors Grade 11 (age 16) –More representative sample of high-risk youth. Onset of risk behaviors has peaked Grade 7 (age 12) –Serves as a good baseline for studying onset of student behaviors Grade 9 (age 14) –Typically see a substantial increase in risk behaviors Grade 11 (age 16) –More representative sample of high-risk youth. Onset of risk behaviors has peaked

18. What modules will they take? 124 Questions Assessment of health risks Alcohol/tobacco/drug use Youth Resilience School violence AHKS Core Module 33 Questions Resilience, Connectedness, Preventative Factors AHKS Module B

19. AHKS Core Module –Demographic Information Age/sex/grade/ethnicity –Alaska Native Subgroups –Alcohol, Tobacco, and Other Drug Use Lifetime use (frequency) Current use Use at school –ATOD use correlates Perceived use of harm Parent perception of use Problems from alcohol and/or drug use Perceived availability of substances –Demographic Information Age/sex/grade/ethnicity –Alaska Native Subgroups –Alcohol, Tobacco, and Other Drug Use Lifetime use (frequency) Current use Use at school –ATOD use correlates Perceived use of harm Parent perception of use Problems from alcohol and/or drug use Perceived availability of substances

20. AHKS Core Module –ATOD (Continued) Social disapproval Perceived use by peers Difficulty obtaining cigarettes, alcohol, marijuana Drinking and Driving Offered drugs at school –Violence, Harassment, Safety & Crime Violence and victimization at school Disapproval of carrying a weapon to school Perceived safety at school Gang membership Dating related violence –ATOD (Continued) Social disapproval Perceived use by peers Difficulty obtaining cigarettes, alcohol, marijuana Drinking and Driving Offered drugs at school –Violence, Harassment, Safety & Crime Violence and victimization at school Disapproval of carrying a weapon to school Perceived safety at school Gang membership Dating related violence

21. AHKS Core Module –External Assets (in school and community) Caring Relationships High Expectations Meaningful Participation –Emotional health Feelings of sadness and loneliness –Physical Health Breakfast eaten today –Reliability Question How many questions were answered honestly –External Assets (in school and community) Caring Relationships High Expectations Meaningful Participation –Emotional health Feelings of sadness and loneliness –Physical Health Breakfast eaten today –Reliability Question How many questions were answered honestly

22. AHKS Module B – Measures External Assets (at home and with peer groups) Caring Relationships High Expectations Opportunities for meaningful participation – Measures Internal Assets Cooperation Communication Empathy Problem solving Self Efficacy Self Awareness Goals and Aspirations School connectedness – Measures External Assets (at home and with peer groups) Caring Relationships High Expectations Opportunities for meaningful participation – Measures Internal Assets Cooperation Communication Empathy Problem solving Self Efficacy Self Awareness Goals and Aspirations School connectedness

23. AHKS Feedback Positive feedback Content Language Length Youth Panel Discussion Knik Tribal Council Chickaloon Village Community Feedback Data committee Steering Committee Coalition Review

24. AHKS Review Local, Sustainable, Empirically supported instrument Gather data required by CADCA Acquire baseline for substance use Position coalition to –Identify, Understand, and Respond to health risks –Foster Comprehensive Health Programs –Evaluate Success Local, Sustainable, Empirically supported instrument Gather data required by CADCA Acquire baseline for substance use Position coalition to –Identify, Understand, and Respond to health risks –Foster Comprehensive Health Programs –Evaluate Success

25. References CDC (2004). YRBS Methodology of the Youth Risk Behavior Survey System, Morbidity and Mortality Weekly Report Meyer, Patricia. Personal communication regarding Monitoring the Future Survey, 5/7/08. WestEd (2007). California Healthy Kids Survey Core Module A, California Safe and Healthy Kids Program Office WestEd(2007). Guidebook for the California Healthy Kids Survey: Administration, California Safe and Healthy Kids Office. U.S. Census Bureau (2006). Matanuska-Susitna Borough Demographic and Housing Estimates, http://factfinder.cencus.gov/ CDC (2004). YRBS Methodology of the Youth Risk Behavior Survey System, Morbidity and Mortality Weekly Report Meyer, Patricia. Personal communication regarding Monitoring the Future Survey, 5/7/08. WestEd (2007). California Healthy Kids Survey Core Module A, California Safe and Healthy Kids Program Office WestEd(2007). Guidebook for the California Healthy Kids Survey: Administration, California Safe and Healthy Kids Office. U.S. Census Bureau (2006). Matanuska-Susitna Borough Demographic and Housing Estimates, http://factfinder.cencus.gov/